APR Event Insurance Request (Ajax Pickering Minor Hockey)

APR Event Insurance Request

All events involving AP Raiders players require an insurance rider that the APMHA has to apply for through the OMHA. 14 days notice required; approval can take up to two weeks. Please make sure the form is filled out correctly.

Team Division & Level^*

Required

Ex. U13AAA

Contact Name:^*

Required

Full Name - First and Last Name

Primary Contact Phone Number:^*

Required

Example: ###-###-####

Primary Contact Email:^*

Required

Example: [email protected]

Describe the Event in detail: ^*

Required

Fundraising/Dryland/Other/Etc.

Address of the Event: ^*

Required

Include full address

Start Date of the Event: ^*

Required

End Date of the Event: ^*

Required

Provide a Rental Agreement/Contract/Permit

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 1. Maximum File Size: 4MB.

Upload documentation if applicable

APR Event Insurance Request (Ajax Pickering Minor Hockey)

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